UNIVERSITY OF THE PUNJAB

Doctoral P rogramme
Coordin atio n C ommit tee

Quaid-e-Azam Campus, Lahore - 54590, Pakistan.

www.pu.edu.pk/dpcc

Department of Mircobiology & Molecular Genetics Building

Quaid-e-Azam Campus,
Lahore - 54590, Pakistan.
Phone: +92-42-5848051 Fax: +92-42-9230481
admission@dpcc.pu.edu.pk ~ office@dpcc.pu.edu.pk

DPCCPlease read the prospectus before completing this form.

Incomplete applications will not be accepted.
Candidates found to have made false or incorrect statement in this form are liable to expulsion.

Serial Number

Punjab University Registration Number

Department / Institute / Centre / College

Personal details (Please use CAPITAL letters and write your details EXACTLY as they appear in your documents).

Title:

Mr.

Mrs

Miss

Other

Male

Female

Full Name
Attach
Attested
Photocopy

National ID Card No.

Married

Single

ATTACH
PHOTO HERE

Fathers Name
Postal Address
Residential Address

D D MM Y Y Y Y
Date of Birth

Mobile

E-mail Address

Fax

Phone

Religion

Proposed Programme of Study

Department in which you wish to study

Research Group / Topic (if known)
Degree / Qualification applied for

MS /
MS leading to Ph. D

M. Phil /
M.Phil leading to Ph. D

Ph. D

Other Research

Preferred Supervisor (if known)

Educational Qualification

Title
Matric
F. A. / F. Sc.
B. A. / B. Sc.
B.A.(Hons)/B.Sc.(Hons) M. A./M.Sc./LL.B
Pharm D or Equivalent to 16 years education
MS/M.Phil/MD/MDS/MBBS or
equivalent to18 years education

GRE (NTS) General

GRE Subject (USA)

Examining Board / Institution

Date Awarded

% / Grade

Work Experience

Job Title

Name of Organization

Full/Part-Time etc.

Nature of work/BPS

From

To

Declarations and Signature

Brief sketch of research work done so far including title of the project, name of supervisor and institution. Use additional pages if
required. The statements should not exceed 500 words.(Use separate sheet if required)

To help us provide assistance, please state briefly if you have any special needs, requiring support or facilities.

Please give reasons for choosing this programme of study and University of the Punjab.

What are your future education plans?

Please give a brief statement about your interests and hobbies.

Have you ever been convicted: if Yes. Give details of all convictions.

Have you ever joined any Department / Institute / Centre / College of Punjab University previously: if Yes, give details.

Publications(if
(ifany)
any)Should
be supported
supported by
reprint
/ copy
Publications
should be
reprint
/ copy

Title of Paper

Journal

Volume

Page

Year

Check List

Have You:
Answered all questions.
Enclosed a letter of permission from the employer (for employees only)
Enclosed certificate of experience from the employer.
Enclosed attested / certified copies of academic transcripts. (including certified translation if necessary)
GRE (NTS) General
GRE Subject (USA)
MS / M. Phil
MD / MDS
B.A. (Hons)
B.Sc (Hons)
B.Sc. (Engineering)
M.A./ M.Sc.
Pharm D
Or equivalent
MBBS / BDS
B.A.
B.Sc.
Or equivalent
Matriculation Certificate
Or equivalent
Intermediate Certificate
Enclosed migration certificate (if graduated from a University other than the Punjab University).
Enclosed a certificate of good moral character.
Enclosed an attested copy of the National Identity Card / Domicile Certificate.
Enclosed three attested copies of recent photographs.
Publications.
Work experience certificate.
Note:
All relevant documents must be attached by the candidate with his / her application form.
No benefit would be given for any document not attached at the time of submitting application or produced after the closing date.
Applicants shall submit their original documents at the time of admission.
Declaration and Signature

I, solemnly declare that:

I have neither joined nor shall join any other institute / Department / Centre / College during the course of my studies at Punjab University
I am not suffering from any infectious disease.
I understand that the University may very or reverse any decision made on the basis of incorrect or incomplete information which I have provided.
I have read and understood the Universitys cancellation and refund policy.
I understand that the University may obtain official records from any educational institution I have previously attended.

I, undertake to:
A) Abide by the Statutes, regulations (including the Code of Honour of Students, of University Calendar 1990 Vol. 1) and rules etc. framed by the University of the Department
/ Institute/Centre/College from time to time and shall be liable to any penalty including rustication/expulsion, in case of violation on my part;
B) I accept as a condition of my admission the authority of the University that a student can be required to withdraw his name from the rolls, if in the opinion of the Vice-Chancellor
/Director/Chairman/Principal of the Department/Centre/College, his stay is not conducive to the welfare, either of himself or others in the Department/Institute/Centre
/College. Should I fail to withdraw my name immediately after being called upon to do so, it may be struck off the rolls of the Department/Institute/Centre/College without any
further notice to me.
C) Not to indulge in politics, and in case, I violate this undertaking and indulge in politics after my admission by the University, I shall be liable to expulsion without any notice
under the order of the Vice-Chancellor which order shall be final and can be questioned only before the Supreme Court of Pakistan vide judgment/order of the Supreme
Court of Pakistan dated 01 July 1992.
D) I accept as binding on me as long as I am a student, all rules and regulations in force at the time of joining and which might be framed subsequently.
E) Show good behavior;
F) Devote whole-heartedly to my studies and maintain the dignity and prestige of the University both in and outside the Campuses;
G) Pay in time all dues and fine, if any;
H) I will notify the new address to Assistant Registrar, DPCC, if there is any change in my contact address/phone number.
I ) I undertake to take examination unconditionally notified by the University/Department/Institute/Centre/College.
Signature of the Applicant
J) I have read the relevant rules and regulations concerning admission before signing this application.

Date

REFERENCE

This section must be completed by your present or past teacher, employer of person who knows you well, academically andlor socially.
How long have your known the applicant and in what capacity?

What is your opinion of the Applicants suitability for the course chosen?

Please tick appropriately

One
tick per row

Outstanding

Excellent

Very Good

Good

Average

Unknown

Intellectual / Academic ability

Ability to work hard
Perseverance
Leadership
Creativity
Concern for others
Any other information that you feel is relevant

Referees Name

Signature

Designation
Address
Date
As many potential candidates apply, selection is extremely difficult. Your comments will provide us with important information in assessing this application.

Office Use Only Office Use Only Office Use Only Office Use Only Office Use Only
Evaluation Record

Admission

Academic Qualification

Matric

Admitted

Yes

No

F.A/ F.Sc
B.A/B.Sc
B.A(Hons)/B.Sc(Hons)/M.A/M.Sc/LL.B

Pharm D/MBBS/ or Equivalent

MS/M.Phil/MD/MDS.
GRE (NTS) General
GRE Subject (USA)

Director / Chairman / Chairperson / Principal

Publication
Teaching/Research Experience

Written Test
Interview
Total Merit
Remarks

Chairperson DPCC